Chattanooga State Community College Division of Nursing and Allied Health EA 226 Paramedic Theories I CATALOG COURSE DESCRIPTION This course covers the areas of preparatory subjects, airway management and ventilation, and patient assessment. This course uses a combination of didactic instruction, practical skills laboratory, and clinical application in the hospital and ambulance settings. CLASS HOURS: 14 CREDIT HOURS: 14 PREREQUISITE (S): EA 106, EA 116 COREQUISITE (S): EA 240 (Clinical Practice) REQUIRED TEXTBOOKS: Mosby s Paramedic Textbook (Sanders), 3rd Edition Revised (Also E- Book) ISBN: 9780323061872 Mosby s Paramedic Workbook (Sanders), 3 rd Edition ISBN: 9780323046930 ECG Made Easy (Aehlert), 3 rd Edition ISBN: 978323062718 Brady, Basic Arrhythmias (Walraven) 6 th edition ISBN: 0131175912 AHA Advanced Cardiac Life Support (ACLS) (2 nd Semester) ISBN: 0874934966 AHA Neonatal Resuscitation Program (NRP) (2 nd Semester) CSTCC Paramedic Program Handbook COURSE HOURS: Course is offered on Section 01 Tuesdays and Thursdays from 9:00 am to 4:30 pm Section 01N Tuesdays and Thursdays from 5:00 pm to 10:30 pm Rev 9/10
PROGRAM STUDENT LEARNING OUTCOMES (PSLOs): PSLO1: Prepare graduates of the Emergency Medical Services Program with the skills and abilities to function as entry level EMTs and Paramedics by ensuring: a. that graduates practice effective communication; b. that graduates possess competent analytical and critical thinking skills; c. that graduates possess proficient information technology skills; d. that graduates practice societal and cultural awareness; e. that graduates possess foundational knowledge in a specialty PSLO2: Provide the regional medical community with qualified individuals who can function as competent entry-level EMS professionals by ensuring that graduates: a. complete the program in a timely manner; b. pass the National Registry of Emergency Medical Technicians; c. receive jobs upon graduation; d. are satisfied with the education they received from the program; and e. meet the expectations of employers. COURSE STUDENT LEARNING OUTCOMES (CSLOs): The student will demonstrate the required level of performance relative to the following areas: CSLO-1: Students will respond appropriately to emergent patient situations involving airway management, ventilation, & shock.(pslo1a, PSLO1b, PSLO1c, PSLO1d, PSLO1e, PSLO2d) CSLO-2: Students will respond appropriately to emergent patient situations involving cardiology and resuscitation. (PSLO1a, PSLO1b, PSLO1c, PSLO1d, PSLO1e, PSLO2d) CSLO-3: Students will respond appropriately to emergent patient situations involving traumatic Injuries. (PSLO1a, PSLO1b, PSLO1c, PSLO1d, PSLO1e, PSLO2d) CSLO-4: Students will respond appropriately to emergent patient situations involving medical conditions. (PSLO1a, PSLO1b, PSLO1c, PSLO1d, PSLO1e, PSLO2d) CSLO-5: Students will respond appropriately to emergent patient situations involving obstetrics and gynecology. (PSLO1a, PSLO1b, PSLO1c, PSLO1d, PSLO1e, PSLO2d) CSLO-6: Students will respond appropriately to emergent patient situations involving EMS operations. (PSLO1a, PSLO1b, PSLO1c, PSLO1d, PSLO1e, PSLO2d)
TOPIC SCHEDULE /COURSE CONTENT / INSTRUCTIONAL COMPETENCIES Paramedic Theories I EA 226 Fall 2010 Class Meeting Chapter/s Topic/s 1 n/a Course Orientation 2 MPT 1,2,3 EMS Systems: Roles & Responsibilities Well Being of the Paramedic Injury prevention 3 MPT 4,5 Medical/Legal Issues; Ethics 4 SKILLS Basic Patient Assessment 5 MPT 6 Review of Human Systems 6 MPT 6 Review of Human Systems 7 MPT 7 General Principles of Pathophysiology 8 MPT 7 General Principles of Pathophysiology 9 MPT General Principles of Pathophysiology 10 TEST 1 All materials previously covered SKILLS Basic Airway Management IVs, Bolus Medication Administration 11 MPT 8 Life Span Development 12 MPT 9, 10, 11, 12 Therapeutic Communications History Taking Techniques of Physical Examination Patient Assessment
13 MPT 13,14,15,16 Clinical Decision Making Assessment Based Management Communications Documentation 14 SKILLS Paramedic Patient Assessment PH Math for Pharmacology 15 MPT 17,18 Pharmacology Venous Assess & Medication Administration PH Math for Pharmacology 16 MPT 17 Pharmacology Venous Access &Medication Administration 17 TEST 2 All materials previously covered SKILLS Medication Administration 18 MPT 19 Airway Management & Ventilation 19 MPT 19 Airway Management & Ventilation 20 SKILLS Airway Management & Ventilation RSI (Rapid Sequence Intubation) Pharmacology & Medication Administration 21 MPT 41 42 Gynecology Obstetrics 22 MPT 42, 43 Obstetrics 23 MPT 29 Cardiology BA As Assigned ECGs as Assigned 24 MPT 29 Cardiology BA As Assigned ECGs as Assigned 25 MPT 29, 17 Cardiology BA As Assigned ECGs As Assigned Cardiac Pharmacology
26 MPT 29, 17 Cardiology BA As Assigned ECGs as Assigned Cardiac Pharmacology 27 TEST 3 All materials previously covered SKILLS Cardiac Monitoring 28 SKILLS Cardiac Monitoring Techniques of Cardioversion, Defibrillation & Pacing 29 SKILLS All SKILLS REVIEW 30 FINAL EXAM All materials previously covered (comprehensive) Skill Performance Competencies MEDICATION AND FLUID ADMINISTRATION Routes of Administration 1. Withdraw from a Vial* 2. Oral Route* 3. Sublingual Route* 4. Subcutaneous Route* 5. Intramuscular Route* 6. Endotracheal Route* 7. Intradermal Route 8. Topical Route 9. Gastric Tube Route 10. Rectal Route 11. Intranasal Route 12. Peripheral IV Insertion* 13. Intraosseous Infusion* 14. External Jugular IV* 15. IV Bolus* 16. Piggy Back IV* 17. Metered-Dose Inhaler* 18. Hand-Held Nebulizer* BLOOD SAMPLE 19. IV* 20. Vacutainer* 21. Needle and syringe* 22. Glucometer*
AIRWAY 23. BLS Airway Obstruction Conscious Adult, Child and Infant* 24. BLS Airway Obstruction Unconscious, Adult Child and Infant* 25. CPR Adult, Child, and Infant* 26. Mouth to Mask Adult, Child and Infant* 27. Mouth to Mask to Stoma 28. Pocket Mask* 29. BVM Adult* 30. BVM Pediatric* 31. CPAP/BiPAP 32. Auto Transport Vent 33. Nasopharyngeal Airway* 34. Oropharyngeal Airway* 35. Orotracheal Intubation* 36. Orotracheal Intubation /Spinal Trauma* 37. Orotracheal Intubation/Pediatric* 38. Nasotracheal Intubation* 39. Digital Intubation 40. CO2 Detectors* 41. Esophageal Detectors* 42. LMA Insertion* 43. Tracheal Suction* 44. Nasogastric Decompression* 45. Multi-Lumen Airway* 46. RSI 47. Translaryngeal Jet Ventilation* 48. Surgical Cricothyrotomy 49. Needle Chest Decompression* PATIENT ASSESSMENT 50. Trauma* 51. Medical* COMMUNICATIONS 52. Radio Transmission* SPINAL TRAUMA 53. Manual In-Line Supine Immobilization* 54. Log Roll Prone* 55. Log Roll Supine* 56. Clam Shell Device* 57. Rapid Extrication* 58. Long Spine Board Supine* ABDOMINAL TRAUMA 59. PASG*
MUSCULOSKELITAL TRAUMA 60. Traction Splint* 61. Joint Immobilization* 62. Long Bone Immobilization* CARDIAC 63. Vagal Manuvers* 64. 12 Lead Therapy 65. Defibrillation* 66. Synchronized Cardioversion* 67. Transcutaneous Pacing* RHYTHM RECOGNITION 68. NSR* 69. Atrial Fibrillation* 70. Atrial Flutter* 71. Atrial Tachycardia* 72. Sinus Bradycardia* 73. Sinus Tachycardia* 74. PSVT* 75. PAC* 76. Junctional* 77. Accelerated Junctional* 78. PJC* 79. 1st Degree Block* 80. 2nd Degree Blocks* 81. 3rd Degree Block* 82. Idioventraicular* PH-3806 RDA 10140 83. Ventricular Fibrillation* 84. Ventricular Tachycardia* 85. PVC* 86. Torsade de Pointes* 87. PEA* 88. Asystole* NEUROLOGICAL 89. Neurological Assessment* 90. Acute Ischemic Stroke Assessment* BEHAVIORAL 91. Patient Restraints OBSTETRICS 92. Normal Vaginal Delivery (Full Term)* 93. Supine Hypotensive 94. Pre-Eclampsia
95. Eclampsia OBSTETRICS 96. Breech 97. Prolapsed Cord 98. Limb Presentation 99. Multiple Births 100. Premature Infant* NEONATALOGY 101. Umbilical Vein Cannulation HOME HEALTH CARE 102. Evaluation of Peripheral Vascular Access* 103. Clearing Obstructed Peripheral Venous Access* 104. Draw Blood from Central Line 105. Implanted venous catheters 106. PIC Cannulations 107. Infusion Pumps 108. PEG Tubes OTHER SKILLS 109. Male Catherization* 110. Female Catherization* 111. Nasogastric Tube * ASSESSMENT DESCRIPTIONS/ INSTRUCTIONAL ACTIVITIES: Quizzes: These quizzes are designed to stimulate learning by testing the student after reading the assigned materials but prior to the lecture presentation. These quizzes are graded and are used in grade calculation for the course. (CSLO-1, CSLO-2, CSLO-3, CSLO-4, CSLO-5, CSLO-6) Unit Examinations: These examinations are designed to stimulate learning by testing the student s ability to learn, retain, and generate a practical understanding of the course materials as it relates to anatomy and physiology, pathophysiology, emergency interventions, and treatment. (CSLO-1, CSLO-2, CSLO-3, CSLO-4, CSLO-5, CSLO-6) Skill Performance: These performance evaluations are designed to stimulate learning by testing the student s ability to learn, retain, and perform necessary critical and non-critical interventions in a variety of patient scenarios. (CSLO-1, CSLO-2, CSLO-3, CSLO-4, CSLO-5) Research Paper: This research assignment is designed to provide the student with an opportunity to gain full knowledge of the Kreb s Cycle (Citric Acid Cycle) and its relationship to physiology and pathophysiology at the cellular level. ((CSLO-1, CSLO-2, CSLO-3, CSLO-4) Comprehensive ination: The comprehensive final exam tests students on a variety of material that has been covered throughout the semester, including but not limited to: anatomical structure, body systems, anatomy, physiology, pathophysiology, emergency interventions, and treatment. (CSLO-1, CSLO-2, CSLO-3, CSLO-4, CSLO-5, CSLO-6)
CSLO: CSLO-1 CSLO-2 CSLO-3 CSLO-4 Assessments: Comprehensive Comprehensive Comprehensive Comprehensive Unit Exams 2, 3 Unit Exams 2, 3 Unit Exam 3 Unit Exam 3 Quizzes 3, 4, 5 Quizzes 3, 4, 5 Quizzes 5, 6 Quiz 6 Research Paper Research Paper Research Paper Research Paper Skill Skill Skill Skill Performance Performance Performance Performance CSLO: CSLO-5 CSLO-6 Assessments: Comprehensive Comprehensive Unit Exam3 Unit Exam 1 Quiz 7 Quizzes 1, 2 Skill Performance ACCOMODATIONS FOR STUDENTS WITH DISABILITIES Any student requiring modifications or adaptations to course activities because of any physical, educational or emotional limitations should contact Disabilities Support Services at 697-4452; offices are located in Room S-226 in the Student Center on Main Campus. Mary Knaff, Affirmative Action Officer should be contacted If there are complaints or feelings of unequal access to educational programming. This must be done within two weeks of the start of class. Students must have official documentation for their disability. The disability can be documented at any time by Disability Support Services but will only be in effect from that point on and not on any previous classroom or clinical participation. GRADING AND EVALUATION Students are required to maintain an Uminimum overall grade average of 75% or better in order to pass the course. This is in addition to any other college or program requirements that must be met in order to pass. A = 93-100 B = 84-92 C = 75-83 D = 68-74 (74 or less constitutes failure of the course) F = 0-67
U Evaluations: Examinations: Quizzes & Homework: 70% of Final Grade 15% of Final Grade 15% of Final Grade ACADEMIC AND CLASSROOM CONDUCT The instructor has the primary responsibility over classroom behavior and maintenance of academic integrity, and can order the temporary removal or exclusion from the classroom of any student engaged in disruptive conduct or conduct in violation of the general rules & regulations of instruction. Extended or permanent exclusion from the classroom and further disciplinary action can be effected only through appropriate procedures of the college. Plagiarism, cheating and other forms of academic dishonesty are prohibited. Students guilty of academic misconduct, either directly or indirectly through participation or assistance, are immediately responsible to the instructor of the course. In addition to other possible disciplinary sanctions which may be imposed through the institutional procedures as a result of academic misconduct, the instructor has the authority to assign an F or zero (0) for an activity or to assign an F for the course. Students are required to wear the full Chattanooga State Clinical Uniform for all class sessions. The uniform is to be clean, in good repair, and worn professionally. Additionally, for specified class sessions, the dress code will be appropriate business attire. The instructor retains to right to dismiss any student who comes to class attired in a non-professional manner. Instructors will be addressed by Title and Last Name, not by the first name. EMAIL COMMUNICATION Please note all communication with instructors about course work should be through the elearn Email system. For assistance on how to use the elearn Email tool go to this url: http://river.chattanoogastate.edu/orientations/student_pdfs/elearn_email_aug09.pdf. For all other communication the official email system used by the college is through Tiger Mail. This is accessible by clicking the blue paw icon from the top right hand side of the Tiger Web home page https://tigerweb.chattanoogastate.edu/cp/home/displaylogin. The instructor reserves the right to modify this syllabus, in writing, anytime during the course of the semester. Revised 09/10/jwr